The coronavirus pandemic first started in Wuhan, China, in December 2019 and affected the whole world. In our country, new measures to be taken were announced after the first case was seen on March 11, 2020. In this study, patients who admitted to the smoking cessation clinic in 2018 and followed up by phone, regarding smoking cessation status in 2019 were questioned for their smoking cessation status after the coronavirus pandemic in 2020. In this descriptive study, the patients who applied to the smoking cessation outpatient clinic in 2018 were questioned regarding their smoking cessation status after 1 year and after the pandemic. It was investigated whether coronapandemia had an effect on smoking cessation. The data were evaluated by using SPSS 22 software. A value of p < 0.05 was considered significant. A total of 357 individuals with a median of Fagerström score of 7.0 were included in the study. Seventy-one (19.9%) of the subjects used nicotine tape, 268 (75.1%) used varenicline, and 18 (5.0%) used both. When the success of those who quit smoking before pandemic and those who quit smoking after pandemic were compared, a statistically significant relationship was found (p < 0.001). In our study, the rate of smoking cessation after 1 year was 23.7%, and the most common side effects were psychiatric complaints, whereas the rate of smoking cessation during the pandemic period was 31.1%. In order to increase the rate of smoking cessation, which is an important public health problem, more counseling should be provided, during the pandemic period.

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IntroductionCommunication skills and problem-solving skills as well as the educational background, knowledge, and experience of doctors are important for establishing effective communication (1-4). Doctors with good communication skills can conceive the problems of patients more accurately, can provide more compliance and satisfaction of patients with treatment, and can reduce stress while improving their professional work satisfaction (4-7). When communication between physicians and patients is considered from this angle, the features and effectiveness of the communication become more important for maintaining a healthy interaction.Difficult situations in which communication is disrupted or broken during physician-patient interviews may occur. During their daily practice, doctors encounter patients described as "difficult" who leave them in difficult situations, frustrate them, and make them feel helpless and inadequate (8,9). For example, it is estimated that difficult patients constitute 15%-30% of examinations performed by family physicians (8,10). The difficulties in patient-physician communication seem to be affected by many factors stemming from the interactions between physicians, patients, situational factors, and the health care system (11). In the literature, the definition of difficult patient includes patient groups such as female patients, patients of low socioeconomic status, and patients who need excessive medical care such as those with psychosocial problems and substance abuse, with multiple medical complaints, and those feeling constantly ill, exhibiting drug-seeking behavior, and with chronic pain (10,(12)(13)(14)(15). Physicians have to allocate a lot more time and energy for these patients to recognize and solve their problems (15). Sometimes, physicians may perceive a Background/aim: The aim of this study was to examine the reasons constituting the definition of 'difficult patient' and to evaluate attitudes and behaviors of physicians in coping with these patients and their relatives. Materials and methods:This cross-sectional study was conducted in May and June 2013 with 400 randomly selected physicians from different specialties working in two training and research hospitals in Ankara. A questionnaire was created by reviewing the relevant literature, by family medicine clinic, and delivered to the physicians following a pilot study.Results: In our study 92.8% of the physicians participating had experienced a negative contact with patients and/or their relatives, previously; 46.8% of the participants stated that they used their own experiences in coping with those situations. The frequency of negative communications was higher in surgical departments, increasing with average daily working hours and number of patients and decreasing with the experience of the physicians. The ways of coping with a difficult patient were nonjudgmental listening, patience, tolerance, and empathy, in declining order of importance. Conclusion:Physicians frequently experience negative communications with patients...

Aim COVID‐19 pandemic has created a serious psychological impact worldwide since it has been declared. This study aims to investigate the level of psychological impacts of the COVID‐19 pandemic on the Turkish population and to determine related factors. Methods The study was carried out by an online questionnaire using the virtual snowball sampling method. The sociodemographic data were collected on the following subjects: participants’ experience on any signs of infection within the last month, the history of COVID‐19 contact‐treatment‐quarantine, level of compliance with precautionary measures, the sources of information and level of knowledge about the pandemic process and their belief levels on the knowledge they acquire. Besides, the questions that take place in the Depression, Anxiety and Stress Scale‐21 (DASS‐21), and Impact of Events Scale‐Revised (IES‐R) were asked to participants. Results Of the 3549 participants, anxiety was found in 15.8%, depression in 22.6%, stress in 12.9%, and psychological trauma in 20.29% based on moderate and above levels. Female gender, young age, higher education level, being single, high monthly income, presence of psychiatric illness, a large number of people living together, having any signs of infection, and contact history with COVID‐19 infected person or contaminated object are identified as risk factors that may increase psychological impact. Compliance with the rules was found to reduce the risk of psychological response. Conclusions The risk factors for the psychological impact of the COVID‐19 pandemic, and acknowledging these factors can help to formulate the interventions to reduce the stress levels of the population.

ÖzAnne sütü, tarih boyunca bebekler için önemli besin maddesi olma özelliğini korumuştur. Anne sütü ilk 6 ayda bebeğin ihtiyacının %100' ünü, 6-12 ayda bebeğin ihtiyacının %50' sini ve 12.aydan itibaren de %30' unu karşılamaktadır. Günümüzde Dünya Sağlık Örgütü (DSÖ), Birleşmiş Milletler Çocuklara Yardım Fonu (UNICEF) ilk 6 ay sadece anne sütü ve ek gıdalarla beraber 2 yaşına kadar emzirmeyi önermektedir. Anne sütü ile beslenme; bebeklerde otit, gastrointestinal enfeksiyonlar, obezite ve diyabet, annede ise over kanseri, endometriyum kanseri ve osteoporoz gibi hastalıkların daha az görülmesine neden olmaktadır. Sağlıklı nesiller için anne sütünün teşviki oldukça önemlidir. Mucizevi bir besin olan anne sütü ile ilgili son dönemlerde yapılan çalışmalarda pek çok yeni bilgilere ulaşılmıştır. Birinci basamak hekimleri olarak bizlerin en önemli görevlerinden biri kişilere kapsamlı danışmanlık vermek (Anne sütü ve emzirme danışmanlığı gibi), diğeri ise gebe -bebek takibi ile devamlı ve koordineli sağlık hizmeti sunmaktır. Bize bağlı nüfustaki anne adaylarıyla tek tek veya toplu görüşmeler planlayıp güncel bilgileri de paylaşarak bebeklerin anne sütü alma oranlarını daha da yükseltebileceğimiz kanaatindeyiz.